Block Test Research Articles

Peel-Off Mask Formulation for Facial Skin Protection Made from Active Carbon Quantum Dots From Rice Washing Water

Excessive exposure to ultraviolet (UV) rays can damage facial skin. Carbon Quantum Dots (CQDs) are active ingredients that can be formulated into peel-off masks needed to protect facial skin from UV exposure. This research aims to formulate a peel-off mask as facial skin protection made from the active ingredient CQDs from rice washing water, test the characteristics, and determine user responses to the product. The mask formulation is divided into five versions, namely F0 (without CQDs), F1, F2, and F3 (with CQDs added at concentrations of 2%, 4%, and 6%, respectively), and F+ (with added vitamin C). The resulting formulations were tested through physical tests, fluorescence using a UV lamp, and UV blocking tests. The test results for the five mask formulas showed a pH range of 4.5-5.6, stability over three weeks of storage, drying time within 27-30 minutes, homogeneity, viscosity ranging from 12,810-18,430 cPs, and spreadability ranging from 5.4-6.6 cm. The results of the organoleptic test using the one-way ANOVA test show that variations in mask formulas do not have a significantly effect on preferences for color, smell, texture, and general preferences. The results of the fluorescence test showed that there was luminescence in formulas F1, F2, and F3. UV blocking properties in the wavelength range 290-320 nm are shown in the formulas F1, F2, F3, and F+. Based on these tests, it can be concluded that the peel-off mask formulation with CQDs from rice wash water successfully produced a good peel-off mask product with a high SPF value, especially in formula F3.

Bottom-up versus Top-down designed rehabilitation sessions in chronic stroke survivors: a pilot randomized controlled trial

Purpose The present study aimed to compare the effectiveness of Top-down and Bottom-up approaches on levels of the International Classification of Functioning, Disability and Health Framework (ICF), including impairments, activities, and participation. Materials and methods Thirty-nine chronic stroke survivors were recruited for this single-blinded randomized clinical trial. Participants were assigned to Top-down, Bottom-up interventions, or control group, and received a 6-week intervention. They were assessed before/after treatments and at follow-up (6 weeks later). Impairments were measured through kinematic analysis, Trail Making Tests (TMT), and Fugl-Meyer Assessment (FMA). Activity and participation were evaluated via Box and Block Test, Motor Activity Log (MAL), and Canadian Occupational Performance Measure (COPM), respectively. Results We found significant improvements in impairment (FMA) and participation (COPM) in all groups, however, COPM scores improved beyond the MCID only in the Top-down, and FMA scores exceeded the MCID in Top-down and Bottom-up groups. Use of the upper limb in daily activities (MAL) enhanced in the Top-down group, although was not clinically significant. Conclusion In most of the outcome measures, no significant difference was observed between groups. It seems that Top-down, Bottom-up, and traditional interventions have relatively comparable effectiveness in chronic stroke survivors. Trial Registration IRCT20150721023277N2

Portable Touchscreen Assessment of Motor Skill: A Registered Report of the Reliability and Validity of EDNA MoTap.

Portable and flexible administration of manual dexterity assessments is necessary to monitor recovery from brain injury and the effects of interventions across clinic and home settings, especially when in-person testing is not possible or convenient. This paper aims to assess the concurrent validity and test-retest reliability of a new suite of touchscreen-based manual dexterity tests (called EDNA™MoTap) that are designed for portable and efficient administration. A minimum sample of 49 healthy young adults will be conveniently recruited. The EDNA™MoTap tasks will be assessed for concurrent validity against standardized tools (the Box and Block Test [BBT] and the Purdue Pegboard Test) and for test-retest reliability over a 1- to 2-week interval. Correlation coefficients of r > .6 will indicate acceptable validity, and intraclass correlation coefficient (ICC) values > .75 will indicate acceptable reliability for healthy adults. The sample were primarily right-handed (91%) adults aged 19 and 34 years (M = 24.93, SD = 4.21, 50% female). The MoTap tasks did not demonstrate acceptable validity, with tasks showing weak-to-moderate associations with the criterion assessments. Some outcomes demonstrated acceptable test-retest reliability; however, this was not consistent. Touchscreen-based assessments of dexterity remain relevant; however, there is a need for further development of the EDNA™MoTap task administration.

Assessment of the impact of the comminution of property modifiers – plastics used in ANFO, on the energy parameters of the high-energy materials

Plastics are an important usable energy resource. The energy stored in them can be used as fuel in modified high-energy materials. Such use makes it possible to simultaneously dispose of waste plastics and improve the energy properties of modified explosives. The simplest material that is used for this purpose is ammonium nitrate fuel oil (ANFO)—commonly used in rock mining. Tests carried out in the Trauzl lead block test assessing the strength of explosive have shown that, with the right amount of certain polymers, similar or even better properties—energy performance—can be achieved by replacing the fuel oil in ANFO. In turn, tests conducted on the impact of plastic comminution on the assessment of the strength of high-energy material showed that a 1.0% addition of polypropylene, polyethylene or polyurethane significantly increases the strength with reference to ANFO. The test results are of practical importance and, for a more complete assessment of the suitability of polymers for use, it will be advisable to conduct further studies of the properties of high-energy materials with selected plastics.

Hindfoot Alignment in Flexible Cavovarus Deformity Under Orthostatic and Coleman Block Test Positions: A Weightbearing Computed Tomography Study.

Flexible cavovarus deformity is prevalent and the Coleman block test is frequently used to assess the first ray plantarflexion malpositioning in the overall deformity as well as the flexibility of the hindfoot. The objective was to assess and compare the weightbearing computed tomography (WBCT) 3-dimensional (3D) changes in clinical and bone alignment in flexible cavovarus deformity patients when performing the Coleman block test when compared to normal standing position and to controls. Twenty patients (40 feet) with flexible cavovarus deformity and 20 volunteer controls (40 feet) with normal foot alignment underwent WBCT imaging of the foot and ankle. Cavovarus patients were assessed in normal orthostatic and Coleman block test positions. Foot and ankle offset (FAO), hindfoot alignment angle (HAA), talocalcaneal angle (TCA), subtalar vertical angle (SVA) and talonavicular coverage angle (TNCA) and a CT-simulated soft tissue envelope image, WBCT clinical hindfoot alignment angle (WBCT-CHAA), were evaluated by 2 readers. Measurements were compared between cavovarus nonstressed and stressed positions and to controls. P values of .05 or less were considered significant. The intra- and interobserver intraclass correlation coefficient were good or excellent for all WBCT measurements. Cavovarus patients demonstrated significant correction of WBCT-CHAA (9.7 ± 0.4 degrees), FAO (2.6 ± 0.4%), and TNCA (8.8 ± 1.8 degrees) when performing the Coleman block test (all P values <.0001). However, WBCT-CHAA and FAO measurements were still residually deformed and significantly different from controls (P values of .001 and <.0001, respectively). TNCA values corrected to values similar to healthy controls (P = .29). No differences were observed in cavovarus patients during Coleman block test for the coronal measures: HAA, TCA, and SVA measurements. In this study, we observed improvement in the overall 3D WBCT alignment (FAO), axial plane adduction deformity (TNCA), as well as CT simulated clinical hindfoot alignment (WBCT-CHAA) in flexible cavovarus deformity patients when performing a Coleman block test. However, we did not find improvement in measures of coronal alignment of the hindfoot, indicating continued varus positioning of the hindfoot in these patients.

Supercharged end-to-side anterior interosseous nerve transfer to restore intrinsic function in high ulnar nerve injury: a prospective cohort study

BackgroundHigh ulnar nerve injuries is known to have unfavorable motor outcomes compared to other peripheral nerve injuries in the upper extremity. Functional muscle recovery after peripheral nerve injury depends on the time to motor end plate reinnervation and the number of motor axons that successfully reach the target muscle. The purpose of this study is to assess the functional recovery, and complications following performing supercharge end-to-side (SETS) anastomosis for proximal ulnar nerve injuries. Our study focuses on the role of SETS in the recovery process of high ulnar nerve injury.Patient and methodsThis study is a prospective, single-arm, open-label, case series. The original proximal nerve pathology was dealt with according to the cause of injury, then SETS was performed distally. The follow-up period was 18 months. We compared the neurological findings before and after the procedure. A new test was used to show the effect of SETS on recovery by performing a Lidocaine proximal ulnar nerve block test.ResultsRecovery of the motor function of the ulnar nerve was evident in 33 (86.8%) patients. The mean time to intrinsic muscle recovery was 6.85 months ± 1.3, only 11.14% of patients restored protective sensation to the palm and finger and 86.8% showed sensory level at the wrist level at the end of the follow-up period. Lidocaine block test was performed on 35 recovered patients and showed no change in intrinsic hand function in 31 patients.ConclusionSETS exhibit a remarkable role in the treatment of high ulnar nerve damage. SETS transfer can act as a nerve transfer that can supply intrinsic muscles by its fibers and allows for proximal nerve regeneration. We believe that this technique improves recovery of hand motor function and allows recovery of sensory fibers when combined with treating the proximal lesion.Trial registrationApproved by Research Ethics Committee of Faculty of Medicine- Cairo University on 01/09/2021 with code number: MD-215–2021.

Assessing the Clinical Effectiveness of an Exergame-Based Exercise Training Program Using Ring Fit Adventure to Prevent and Postpone Frailty and Sarcopenia Among Older Adults in Rural Long-Term Care Facilities: Randomized Controlled Trial.

Frailty and sarcopenia are geriatric syndromes of increasing concern and are associated with adverse health outcomes. They are more prevalent among long-term care facility (LTCF) users than among community dwellers. Exercise, especially multicomponent and progressive resistance training, is essential for managing these conditions. However, LTCFs, particularly in rural areas, face challenges in implementing structured exercise programs due to health care professional shortages. Moreover, older adults often become bored with repetitive exercise training and may lose interest over time. The Nintendo Switch Ring Fit Adventure (RFA) exergame is a novel exergame that combines resistance, aerobic, and balance exercises and offers a potential solution by boosting motivation in an immersive manner and reducing staff intervention needs. We aimed to evaluate the clinical effectiveness of an exergame-based exercise training program delivered via RFA (exergame-RFA) in improving muscle mass and functional performance among older adult LTCF users. This was a randomized controlled trial conducted from August 2022 to September 2023 and involved older adult LTCF users (aged ≥60 y) in rural southern Taiwan. Participants were randomized into an intervention group (exergame-RFA plus standard care) or a control group (standard care alone). The intervention, conducted seated with arm fit skills and trunk control exercises using the RFA, lasted 30 minutes twice weekly over 12 weeks. The primary outcomes measured were the Study of Osteoporotic Fractures index (serving as an indicator of frailty status) and the diagnostic criteria for sarcopenia (appendicular skeletal muscle mass index, handgrip strength, and gait speed). The secondary outcomes included functional performance (box and block test as well as maximum voluntary isometric contraction of the dominant upper extremity), muscle condition (muscle thickness measured using ultrasonography), activities of daily living (Kihon checklist), health-related quality of life (Short Form Health Survey-36), and cognitive function (brain health test). We used an intention-to-treat analysis, incorporating a simple imputation technique in statistical analysis. A mixed ANOVA, with time as a within-participant factor and intervention as a between-participant factor, was used to compare the training effects on outcomes. We recruited 96 individuals, of whom 60 (62%) underwent randomization. Of these 60 participants, 55 (92%) completed the study. Significant group×time interactions were observed in the intervention group in all primary outcomes (all P<.001, except P=.01 for handgrip strength) and most secondary outcomes, including maximum voluntary isometric contraction of the biceps (P=.004) and triceps brachii (P<.001) muscles, biceps muscle thickness measured using ultrasonography (P<.001), box and block test (P<.001), Kihon checklist (physical function: P=.01, mood status: P=.003, and total: P=.003), and brain health test (P<.001). The exergame-RFA intervention significantly improved muscle mass, strength, and functional performance among older adult users of rural LTCFs, offering a novel approach to addressing frailty and sarcopenia. ClinicalTrials.gov NCT05360667; https://clinicaltrials.gov/study/NCT05360667. RR2-10.3389/fmed.2022.1071409.

Environmentally friendly lime melting slag-GBFS-titanium gypsum cementitious material: Mechanical properties, hydration characteristics and microstructure

Lime melting slag (LMS) is the solid waste produced when high-purity magnesium hydroxide is made utilizing the ammonia-lime combination technology. This study discusses the impact of LMS on the strength growth and hydration behavior of the granulated blast furnace slag (GBFS)-titanium gypsum (TG) system, with the aim of realizing the resource utilization of LMS. XRD, FTIR, SEM-EDS NMR and hydration heat characterization were employed to identify the types and development processes of hydration products at various stages. The findings indicate that incorporating 2 % LMS into the sample yields the most effective excitation, enhancing the mechanical characteristics of cementitious materials at various curing stage, particularly after 3d. The 3d compressive strength of the samples with 2 % LMS was 99.2 %, 36.9 %, 43.6 % and 72.4 % higher than that of the samples with 0 %, 4 %, 6 % and 10 % LMS, respectively. The undissolved Ca(OH)2 in the LMS can selectively adsorb dissolved Ca2+ and OH- to form a double layer structure. The higher the content of undissolved Ca(OH)2 in GBFS- titanium gypsum system, the higher the adsorption capacity of Ca2+ and OH-, and the relative content of ions used in alkali excitation slag decreased. Therefore, in the GBFS-titanium gypsum system, with the increase of LMS content, the hydration degree of GBFS gradually slows down, and the generation of hydration products correspondingly decreases, which shows that the compressive strength decreases on the macro level. The analysis of hydration products shows that the appropriate amount of LMS can promote the dissolution of GBFS, generate a large number of C-(A)-S-H gels and ettringite, form an interlocking effect in three-dimensional space, and improve the mechanical properties of hydration products. However, CO2 in the air dissolves in the water pool of the curing test block to form CO32-, which reacts with the three-dimensional network gel to form fine needle-like thaumasite, resulting in a decline in the flexural strength of GTL2, but this does not affect the development of the compressive strength of the test block. GTL cementitious materials also have good ecological and environmental benefits. This study provides a new idea for the resource utilization of LMS, and provides a rich theoretical basis for the research of solid waste cementitious materials.

Bimanual Coordination in Children with Bilateral Cerebral Palsy: A Cross-Sectional Study

Aim To compare bimanual coordination in children with bilateral cerebral palsy (BCP) with that of children with typical development (TD) and correlate bimanual coordination with clinical measures of hand function. Methods 3-D kinematic data were collected from 14 children with BCP (mean age 13 years 1 month; range 7.3–17.2 years, 5 females) and 14 age-matched children with TD (mean age 13 years 1 month, range 7.0–16.0 years, 7 females) as they opened a drawer with one hand and activated a switch inside it with the other hand at self-paced and as-fast-as-possible speeds. Hand roles varied in each condition. Participants' hand function levels were classified using the Manual Ability Classification System. Unimanual dexterity and bimanual performance were evaluated using the Box and Blocks Test and Both Hands Assessment respectively. Results Participants with BCP performed the bimanual task more slowly (p < 0.001) and sequentially, as evidenced by greater time differences between the two hands achieving the end goal (p = 0.01). Faster speeds, particularly when the less affected hand opened the drawer, facilitated time-related measures of bimanual coordination (p < 0.05). Bimanual coordination correlated with all clinical measures of hand function (p < 0.05). Conclusion For children with BCP, speed and hand used for each subcomponent of the task influence bimanual coordination. Better bimanual coordination is associated with less impairment of both hands.

Non-Dominant Hemisphere Excitability Is Unaffected during and after Transcranial Direct Current Stimulation of the Dominant Hemisphere.

Transcranial direct current stimulation (tDCS) increases primary motor cortex (M1) excitability and improves motor performance when applied unilaterally to the dominant hemisphere. However, the influence of tDCS on contralateral M1 excitability both during and after application has not been quantified. The purpose was to determine the influence of tDCS applied to the dominant M1 on the excitability of the contralateral non-dominant M1. This study employed a double-blind, randomized, SHAM-controlled, within-subject crossover experimental design. Eighteen young adults performed two experimental sessions (tDCS, SHAM) in counterbalanced order separated by a one-week washout. Transcranial magnetic stimulation (TMS) was used to quantify the excitability of the contralateral M1 to which anodal tDCS was applied for 20 min with a current strength of 1 mA. Motor evoked potential (MEP) amplitudes were assessed in 5 TMS test blocks (Pre, D5, D10, D15, and Post). The Pre and Post TMS test blocks were performed immediately before and after tDCS application, whereas the TMS test blocks performed during tDCS were completed at the 5, 10, and 15 min stimulation timepoints. MEPs were analyzed with a 2 condition (tDCS, SHAM) × 5 test (Pre, D5, D10, D15, Post) within-subject ANOVA. The main effect for condition (p = 0.213), the main effect for test (p = 0.502), and the condition × test interaction (p = 0.860) were all not statistically significant. These results indicate that tDCS does not modulate contralateral M1 excitability during or immediately after application, at least under the current set of common tDCS parameters of stimulation.

Use of cortical hemodynamic responses in digital therapeutics for upper limb rehabilitation in patients with stroke

BackgroundStroke causes long-term disabilities, highlighting the need for innovative rehabilitation strategies for reducing residual impairments. This study explored the potential of functional near-infrared spectroscopy (fNIRS) for monitoring cortical activation during rehabilitation using digital therapeutics.MethodsThis cross-sectional study included 18 patients with chronic stroke, of whom 13 were men. The mean age of the patients was 67.0 ± 7.1 years. Motor function was evaluated through various tests, including the Fugl–Meyer assessment for upper extremity (FMA-UE), grip and pinch strength test, and box and block test. All the patients completed the digital rehabilitation program (MotoCog®, Cybermedic Co., Ltd., Republic of Korea) while being monitored using fNIRS (NIRScout®, NIRx Inc., Germany). Statistical parametric mapping (SPM) was employed to analyze the cortical activation patterns from the fNIRS data. Furthermore, the K-nearest neighbor (K-NN) algorithm was used to analyze task performance and fNIRS data to classify the severity of motor impairment.ResultsThe participants showed diverse task performances in the digital rehabilitation program, demonstrating distinct patterns of cortical activation that correlated with different motor function levels. Significant activation was observed in the ipsilesional primary motor area (M1), primary somatosensory area (S1), and contralateral prefrontal cortex. The activation patterns varied according to the FMA-UE scores. Positive correlations were observed between the FMA-UE scores and SPM t-values in the ipsilesional M1, whereas negative correlations were observed in the ipsilesional S1, frontal lobe, and parietal lobe. The incorporation of cortical hemodynamic responses with task scores in a digital rehabilitation program substantially improves the accuracy of the K-NN algorithm in classifying upper limb functional levels in patients with stroke. The accuracy for tasks, such as the gas stove-operation task, increased from 44.4% using only task scores to 83.3% when these scores were combined with oxy-Hb t-values from the ipsilesional M1.ConclusionsThe results advocated the development of tailored digital rehabilitation strategies by combining the behavioral and cerebral hemodynamic data of patients with stroke. This approach aligns with the evolving paradigm of personalized rehabilitation in stroke recovery, highlighting the need for further extensive research to optimize rehabilitation outcomes.

A Canonical Representation of Block Matrices with Applications to Covariance and Correlation Matrices

Abstract We obtain a canonical representation for block matrices. The representation facilitates simple computation of the determinant, the matrix inverse, and other powers of a block matrix, as well as the matrix logarithm and the matrix exponential. These results are particularly useful for block covariance and block correlation matrices, where evaluation of the Gaussian log-likelihood and estimation are greatly simplified. We illustrate this with an empirical application using a large panel of daily asset returns. Moreover, the representation paves new ways to model and regularize large covariance/correlation matrices, test block structures in matrices, and estimate regressions with many variables.

Novel online enfacement illusion for investigating self-perception in mental disorders: an experimental study protocol

BackgroundRemote research methods and interventions for mental health disorders have become increasingly important, particularly for conditions like eating disorders (EDs). Embodiment illusions, which induce feelings of ownership over another person?s body or body parts, offer valuable insights into the mechanisms underlying self-perception issues in EDs and potential interventions. However, existing research using these illusions has been limited to face-to-face settings. We illustrate a novel online protocol to induce the enfacement illusion (embodiment illusion principles applied to one’s face) in an ED-based sample.MethodsParticipants complete a 2-hr virtual session with a researcher. First, baseline trait/state ED psychopathology measures and a self-face recognition task occur. Second, participants experience two testing blocks of the enfacement illusion involving synchronously and asynchronously mimicking a pre-recorded actor’s facial expressions. After each block, subjective and objective enfacement illusion measures occur alongside state ED psychopathology reassessment.DiscussionSuccessfully inducing enfacement illusions online could provide an affordable, accessible virtual approach to further elucidate the mechanistic role of self-perception disturbances across psychopathologies such as EDs. Moreover, this protocol may represent an innovative, remotely-delivered intervention strategy, as ‘enfacement’ over another face could update negative self-representations in a cost-effective, scalable manner.

Revisiting which language declines more in Spanish-English bilinguals with Alzheimer's disease: Longitudinal decline patterns on the multilingual naming test

Theories of bilingual language production predict that bilinguals with Alzheimer's disease (AD) should exhibit one of two decline patterns. Either parallel decline of both languages (if decline reflects damage to semantic representations that are accessed by both languages), or asymmetrical decline, with greater decline of the nondominant language (if decline reflects reduced ability to resolve competition from the dominant language with disease progression). Only two previous studies examined decline longitudinally with one showing parallel, and the other asymmetrical, decline. We examined decline over 2–7 years (3.9 on average) in Spanish-English bilinguals (N = 23). Logistic regression revealed a parallel decline pattern at one year from baseline, but an asymmetrical decline pattern over the longer decline period, with greater decline of the nondominant language (when calculating predicted probabilities of a correct response). The asymmetrical decline pattern was significantly greater for the nondominant language only when including item-difficulty in the model. Exploratory analyses across dominance groups looking at proportional decline relative to initial naming accuracy further suggested that decline of the nondominant language may be more precipitous if that language was acquired later in life, but the critical interaction needed to support this possibility was not statistically significant in a logistic regression analysis. These results suggest that accessibility of the nondominant language may initially be more resilient in early versus more advanced AD, and that AD affects shared semantic representations before executive control declines to a point where the ability to name pictures in single-language testing block is disrupted. Additional work is needed to determine if asymmetrical decline patterns are magnified by late age of acquisition of the nondominant language, and if more subtle impairments to executive control underlie impairments to language switching that occur in the earliest stages of AD (even preclinically).

The Bead Maze Hand Function Test for Children.

There is a need for a pediatric hand function test that can be used to objectively assess movement quality. We have developed a toy-based test, the Bead Maze Hand Function (BMHF) test, to quantify how well a child performs an activity. This is achieved by assessing the control of forces applied while drawing a bead over wires of different complexity. To study the psychometric properties of the BMHF test and understand the influence of age and task complexity on test measures. A cross-sectional, observational study performed in a single visit. Clinical research laboratory. Twenty-three participants (ages 4-15 yr) were recruited locally. They were typically developing children with no illness or conditions that affected their movement. Interventions/Assessments: Participants performed the BMHF test and the Box and Block test with both hands. Total force and completion time were examined according to age and task complexity using a linear mixed-effects model. We calculated intraclass correlation coefficients to measure interrater reliability of the method and estimated concurrent validity using the Box and Block test. Total force and completion time decreased with age and depended on task complexity. The total force was more sensitive to task complexity. The Box and Block score was associated with BMHF completion time but not with total force. We found excellent interrater reliability. A familiar toy equipped with hidden sensors provides a sensitive tool to assess a child's typical hand function. Plain-Language Summary: We developed the Bead Maze Hand Function (BMHF) test to determine how well a child performs an activity with their hands. The BMHF test is a toy equipped with hidden sensors. Twenty-three typically developing children with no illnesses or conditions that affected their hand movement participated in the study. We asked the children to perform the BMHF test with both hands. Our study found that occupational therapists can reliably use the BMHF test to assess a child's hand function.

A Systematic Review of Structured Exercises and Music Therapy on the Functional Status of Stroke Survivors

Background: Stroke, a leading cause of disability worldwide, often leaves survivors grappling with functional impairments that significantly impact their daily lives. Enhancing the functional status of stroke survivors is not only a personal achievement but also a critical public health concern. Aim: A systematic review of literature was conducted to identify the various forms of structured exercises and music therapy used in enhancing the functional status of stroke survivors, and the various outcome measures used in measuring the functional status of the stroke survivors. Design: A systematic review Data Sources: A systematic literature search was performed for publications using PubMed, Scopus, Google Scholar, Embase, CINAHL, ISI, and ScienceDirect Databases. Eligibility Criteria: The review included published studies which reported use of structured exercises and Music therapy in enhancing the functional status of stroke survivors aged 18 years and above, and published in English between June 2012 and June 2022. Data Extraction: The titles and abstracts of articles were screened and studies that did not meet the eligibility criteria were excluded. Full texts of eligible studies were further scrutinized. The results were interpreted and reported with respect to their level of evidence, design, sample size, duration, quality appraisal and risk of bias. Result: A total of 2,427 studies were identified through initial search of the databases. Additional 8 records were identified through other sources making it a total of 2,435 records. 2,350 duplicate studies were removed after screening. The remaining 85 full-text articles were screened for eligibility criteria and further reduced to 26. Of these 26 studies, 17 were Randomized Controlled Trials (RCTs), 7 quasi-experimental studies, 1 case series, and 1 case study. Hand function exercise (23.0%) was the most used form of structured exercise while music-supported therapy (29.1%) was the most used music therapy intervention. Motor function (41.6%) was the most investigated construct of functional status. The most used outcome measures were Box and Blocks Test (BBT) (10.4%) and 9 Hole Pegboard Test (9HPT) (10.4%) which were used for measuring motor function of the stroke survivors. Conclusion: Various forms of structured exercises and music therapy were found to improve the functional status of stroke survivors. Also, various outcome measures for measuring the functional status of the stroke survivors were reported as well. Clinicians and researchers should choose the appropriate outcome measures for the right constructs in the course of their practice and research programmes.

Research on the residual stress induced by square-spot laser shock peening on 2024-T351 specimens

Laser peen forming (LPF) is an appealing technique for forming metal sheets using high-energy, short-duration laser pulses. The deformation of the target metal plate is closely related to the magnitude and distribution of laser-induced residual stress. Consequently, the relationship between process parameters and residual stress is worth researching. In this research, two process parameters in LPF, laser energy and coverage ratio (spot distance essentially), and one workpiece parameter, plate thickness, were examined through an element method (FEM) of multiple square-spot laser shock peening (SSLSP). Corresponding experiments of SSLSP on aluminum alloy 2024-T351 test blocks were conducted, together with an X-ray diffraction (XRD) residual stress measurement and a surface morphology observation. The FEM simulation and experimental results show that congested laser spots had a significant influence on the magnitude of compressive residual stress; higher laser energy was beneficial to the depth of the compressive stress layer but could decrease its magnitude. Therefore, for better forming ability, higher laser energy and a higher coverage ratio are beneficial; for surface strengthening, laser energy should not be too large, and the coverage ratio should be larger than 100% to ensure that the residual stress on the treated surface is compressive, resulting in better surface integrity.

Interactive Electronic Pegboard for Enhancing Manual Dexterity and Cognitive Abilities: Instrument Usability Study.

Strokes pose a substantial health burden, impacting 1 in 6 people globally. One-tenth of patients will endure a second, often more severe, stroke within a year. Alarmingly, a younger demographic is being affected due to recent lifestyle changes. As fine motor and cognitive issues arise, patient disability as well as the strain on caregivers and health care resources is exacerbated. Contemporary occupational therapy assesses manual dexterity and cognitive functions through object manipulation and pen-and-paper recordings. However, these assessments are typically isolated, which makes it challenging for therapists to comprehensively evaluate specific patient conditions. Furthermore, the reliance on one-on-one training and assessment approaches on manual documentation is inefficient and prone to transcription errors. This study examines the feasibility of using an interactive electronic pegboard for stroke rehabilitation in clinical settings. A total of 10 patients with a history of stroke and 10 healthy older individuals were recruited. With a limit of 10 minutes, both groups of participants underwent a series of challenges involving tasks related to manual operation, shape recognition, and color discrimination. All participants underwent the Box and Block Test and the Purdue Pegboard Test to assess manual dexterity, as well as an array of cognitive assessments, including the Trail Making Test and the Mini-Mental Status Examination, which served as a basis to quantify participants' attention, executive functioning, and cognitive abilities. The findings validate the potential application of an interactive electronic pegboard for stroke rehabilitation in clinical contexts. Significant statistical differences (P<.01) were observed across all assessed variables, including age, Box and Block Test results, Purdue Pegboard Test outcomes, Trail Making Test-A scores, and Mini-Mental Status Examination performance, between patients with a history of stroke and their healthy older counterparts. Functional and task testing, along with questionnaire interviews, revealed that patients with a history of stroke demonstrated prolonged completion times and slightly inferior performance. Nonetheless, most patients perceived the prototype as user-friendly and engaging. Thus, in the context of patient rehabilitation interventions or the evaluation of patient cognition, physical functioning, or manual dexterity assessments, the developed pegboard could potentially serve as a valuable tool for hand function, attention, and cognitive rehabilitation, thereby mitigating the burden on health care professionals. Health care professionals can use digital electronic pegboards not only as a precise one-on-one training tool but also as a flexible system that can be configured for online or offline, single-player or multiplayer use. Through data analysis, a more informed examination of patients' cognitive and functional issues can be conducted. Importantly, patient records will be fully retained throughout practices, exercises, or tests, and by leveraging the characteristics of big data, patients can receive the most accurate rehabilitation prescriptions, thereby assisting them in obtaining optimal care.

Effects of Single-Session Practice Structure on Motor Skill Acquisition and Alpha and Beta EEG Oscillations

Background: Although it is known that practicing a motor skill updates the associated internal model, it is still unclear as to how cortical oscillations linked with the motor skill change under differing practice schedules. The current study investigated α- and β-power changes associated with motor skill acquisition. Objectives: Firstly, we investigated the behavioral effects of practice on motor learning and retention during repetitive (RP) and variable (VP) practice schedules on an anticipation timing task. Secondly, we investigated changes in cortical α (10 - 13 Hz) and β (15 - 30 Hz) event-related synchronization and desynchronization (ERS/ERD) under RP and VP during early (EP) and late (LP) stages of practice. Methods: To investigate the behavioral effects of practice on learning and retention, participants were pretested, post-tested at 5 min (retention), and tested twice at 30 min (one for longer retention, one for transfer to a novel velocity). To investigate electroencephalography (EEG) α and β power changes, data were collected from electrode sites T7, T8, C3, C4, CP3, CP4, FCz, AFz, and Pz. Results: Based on a 2 × 4 (practice group × test block) ANOVA, results indicated a significant learning effect for both group participants, with VP participants performing better on the 30-min transfer test. To investigate EEG α and β power changes, data were analyzed using separate, 2 × 2 repeated measures ANOVA (group [RP and VP] × practice trial blocks [EP and LP]). Power analyses revealed (1) attenuated α ERD at T7 (cognitive/verbal rehearsal), C3 (motor cortex), CP3, CP4, and FCz (pooled data representing premotor cortices), and AFz (frontal cortex and attentional processes) during LP, with greater changes observed in premotor activity (PMA), T7, and AFz electrode sites in RP participants. β frequency analysis, using beta modulation depth (BMD), revealed that participants in both groups had increased BMD at premotor, motor, and frontal electrode sites at LP, with RP participants exhibiting greater changes. Conclusions: Results are in accordance with previous research indicating that practicing under a VP schedule leads to superior motor skill transfer than practicing under an RP schedule. Moreover, lesser changes in α ERD along and lower BMD observed in VP participants might be responsible for a more adaptable and flexible motor program, allowing for greater skill retention and transfer in individuals practicing under VP conditions.

Seasonal Variations in Radon and Thoron Exhalation Rates from Solid Concrete Interior Walls Observed Using In Situ Measurements

Building materials, such as brick and concrete, are known indoor radon (222Rn) and thoron (220Rn) sources. Most radon and thoron exhalation studies are based on the laboratory testing of pieces and blocks of such materials. To discuss if laboratory findings can be applied to a real-world environment, we conducted intensive in situ exhalation tests on two solid concrete interior walls of an apartment in Japan for over a year. Exhalation rates of radon (JRn) and thoron (JTn) were measured using an accumulation chamber and dedicated monitors, alongside monitoring indoor air temperature (T) and absolute humidity (AHin). There were weak correlations between JRn or JTn and T or AHin at one tested wall, and moderate correlations of JRn and strong correlations of JTn with T or AHin at the other wall, meaning more or less seasonal variations. The findings aligned with previous laboratory experiments on JRn but lacked corresponding data for JTn. Additionally, a moderate or strong correlation between JRn and JTn was observed for both tested walls. Comparison with theoretical calculations revealed a new issue regarding the impact of each process of emanation and migration within concrete pores on radon and thoron exhalation. Overall, this study provides insight into parameterizing radon and thoron source inputs in modeling the spatiotemporal dynamics of indoor radon and thoron.